Provider Demographics
NPI:1285822445
Name:KIM-TENSER, MAY ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:MAY
Middle Name:ANNE
Last Name:KIM-TENSER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MAY
Other - Middle Name:ANNE
Other - Last Name:KIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1540 ALCAZAR ST STE 215
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90089-1029
Mailing Address - Country:US
Mailing Address - Phone:323-442-7686
Mailing Address - Fax:
Practice Address - Street 1:1540 ALCAZAR ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90089-0186
Practice Address - Country:US
Practice Address - Phone:323-442-7686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-11
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY529652084N0400X
NC2019-024412084N0400X
FLME1429112084N0400X
VA01012678762084N0400X
GA842432084N0400X
CAA972892084N0400X, 2084A2900X
IN01082720A2084N0400X
AZ591702084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical Care
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA97289OtherSTATE LICENSE
CA1285822445OtherNPI
CAA97289OtherSTATE LICENSE